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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BIOMET MICROFIXATION 90° CONTRA ANGLE DRIVER; PLATE, BONE

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BIOMET MICROFIXATION 90° CONTRA ANGLE DRIVER; PLATE, BONE Back to Search Results
Model Number N/A
Device Problem Physical Resistance/Sticking (4012)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
Zimmer biomet complaint (b)(4).Concomitant medical products: biomet microfixation ratcheting screwdriver catalog #: 46-0008; lot #: ni.Customer has indicated that the product is in process of being returned to zimmer biomet for investigation.Once the investigation has been completed, a follow-up mdr will be submitted.
 
Event Description
It was reported that the driver is stripped.Attempts have been made and no further information has been provided.No adverse events have been reported as a result of the malfunction.
 
Event Description
This follow-up report is being submitted to relay additional information.
 
Manufacturer Narrative
This follow-up report is being submitted to relay additional information.The complaint is confirmed.On visual inspection, the contra angle driver appears to be in fair overall shape with minor discoloration noted.When rotating the bottom of the driver, there wasn't any significant sticking or resistance noted.An sp-2379 lot# 683420 contra angle driver blade was inserted into the collet and the assembly was functionally tested by attempting to drive a 2.4mm cancellous locking screw into a block of white oak wood.When the screw was driven approximately halfway, the driver was noted to stop functioning and the screw would not advance any further when rotating the gear.The driver was disassembled for further inspection and when disassembling the collet there were metal shavings noted to fall out from the assembly and the teeth of the gear were worn.The dhr was reviewed and there were no non-conformances found.There are no indications of manufacturing defects.The most likely underlying cause of the complaint is the gears experienced force in excess of what they were designed to encounter when driving the screw.If any further information is found which would change or alter any conclusions or information, a supplemental report will be filed accordingly.Zimmer biomet will continue to monitor for trends.
 
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Brand Name
90° CONTRA ANGLE DRIVER
Type of Device
PLATE, BONE
Manufacturer (Section D)
BIOMET MICROFIXATION
1520 tradeport drive
jacksonville FL 32218
MDR Report Key8692528
MDR Text Key148314777
Report Number0001032347-2019-00317
Device Sequence Number1
Product Code JEY
UDI-Device Identifier00841036123130
UDI-Public00841036123130
Combination Product (y/n)N
PMA/PMN Number
K121589
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type distributor
Type of Report Initial,Followup
Report Date 08/27/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received06/12/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberN/A
Device Catalogue Number24-1189
Device Lot Number555910
Was Device Available for Evaluation? Yes
Was the Report Sent to FDA? No
Date Manufacturer Received08/20/2019
Is This a Reprocessed and Reused Single-Use Device? No
Removal/Correction NumberN/A
Patient Sequence Number1
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